{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:34:36Z","timestamp":1787762076608,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Administering liberal fluid raises concerns about pulmonary congestion postoperatively. Bedside ultrasonography is a valuable tool for the early detection of pulmonary congestion. In this study, we have used it to ascertain the impact of the duration of surgery and intraoperative fluid volume on the causation of pulmonary congestion. Our objective was to determine the incidence of pulmonary congestion as diagnosed by lung ultrasound in patients undergoing general anaesthesia with varied fluid administration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Seventy participants of American Society of Anesthesiologists physical status I and II, aged between 18 and 60 years, undergoing elective extrathoracic surgeries of over 3 h under general anaesthesia were included. Preoperative lung ultrasound was carried out in all patients, and a postoperative lung ultrasound was carried out at 1 h after extubation. The appearance of three or more \u201cB\u201d-lines was considered positive for lung congestion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Significant differences (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) were found in the duration of surgery and the appearance of B-lines in the postoperative period. Participants who developed B lines received, on average, 150% more fluid (1148.16 \u00b1 291.79 ml) than those who did not (591.29 \u00b1 398.42 ml) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0240). Net fluid balance was also significantly different in patients who developed B lines (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0014). None of the patients developed symptoms of lung congestion postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Long duration of surgery under general anaesthesia (&gt;3 h) with the administration of large volumes of intraoperative fluid and a large net fluid balance are associated with lung congestion as diagnosed by lung ultrasound.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_598_22","type":"journal-article","created":{"date-parts":[[2023,7,15]],"date-time":"2023-07-15T13:05:58Z","timestamp":1689426358000},"page":"628-632","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Incidence of postoperative pulmonary congestion as diagnosed by lung ultrasound in surgeries performed under general anaesthesia: A prospective, observational study"],"prefix":"10.4103","volume":"67","author":[{"given":"Kartik","family":"Basumatary","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Pain and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samarjit","family":"Dey","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen K.","family":"Neema","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer M.","family":"Mujahid","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prateek","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jitendra","family":"Kalbande","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,14]]},"reference":[{"key":"R1-20240902","doi-asserted-by":"crossref","first-page":"180","DOI":"10.4103\/2141-9248.105668","article-title":"Diagnosis, prevention and management of postoperative pulmonary oedema","volume":"2","author":"Bajwa","year":"2012","journal-title":"Ann Med Health Sci 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surgery","volume":"130","author":"Miller","year":"2019","journal-title":"Anesthesiology"},{"key":"R6-20240902","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.bja.2017.10.011","article-title":"Current concepts of fluid management in enhanced recovery pathways","volume":"120","author":"Makaryus","year":"2018","journal-title":"Br J Anaesth"},{"key":"R7-20240902","doi-asserted-by":"crossref","first-page":"2263","DOI":"10.1056\/NEJMoa1801601","article-title":"Restrictive versus liberal fluid therapy for major abdominal surgery","volume":"378","author":"Myles","year":"2018","journal-title":"N Engl J Med"},{"key":"R8-20240902","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1093\/bjaceaccp\/mkv012","article-title":"Practical approach to lung ultrasound","volume":"16","author":"Miller","year":"2016","journal-title":"BJA Educ"},{"key":"R9-20240902","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1093\/bja\/aet076","article-title":"Is thoracic ultrasound a viable alternative to conventional imaging in the acute care setting?","volume":"111","author":"Ashton-Cleary","year":"2013","journal-title":"Br J Anaesth"},{"key":"R10-20240902","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1378\/chest.115.5.1371","article-title":"Fatal postoperative pulmonary edema","volume":"115","author":"Arieff","year":"1999","journal-title":"Chest"},{"key":"R11-20240902","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1093\/bjaed\/mkx012","article-title":"Postoperative pulmonary complications following non-cardiothoracic surgery","volume":"17","author":"Davies","year":"2017","journal-title":"BJA Educ"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_598_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:15:01Z","timestamp":1787760901000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_598_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_598_22","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2022-07-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}